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HomeMy WebLinkAbout205236 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1 ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH Q� CHECK AMOUNT: $300.80 CARMEL, INDIANA 46032 10251 HAGUE ROAD c, o INDIANAPOLIS IN 46256 CHECK NUMBER: 205236 CHECK DATE: 1/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4351100 25948 5406 300.80 CAR WASH TICKETS Mike's Carwash,lnc. INVOICE 10251 N.Hague Road Indianapolis, IN 46256 Phone: (317) 572 -9250 INVOICE DATE Fax: (317) 572 9251 12/30/2011 INVOICE NUMBER Email Address: mcw @mail.fwi.com Web Site: http:llwww.mikescarwash.com 005406 CUSTOMER NUMBER City of Carmel Police Dept. CARPD01 Teresa Anderson TERMS 3 Civic Square Carmel, IN 46032 Net 30 De scription QTY UNIT PRICE AMOUNT Express Singles 47.00 8.00 376.00 Discount 1.00 -75.20 -75.20 Make Checks Payable to: Mike's Car Wash Attn: Accounts Receivable 10251 N. Haque Road .pf 1 Indianapolis, IN 46256 TotatDue 300.80 INDIANA RETAIL TAX EXEMPT PAGE C of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46632 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. "URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Mlko' Car Vkoh Cumol Police DopaftGnt VENDOR SHIP 3 CIVIC S qu are 10251 N. Hague Road TO Carmel, IN Indimmpolls, IN 46M CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT A ccount g UNIT MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.61 d 1.00 9 E@ch car wash fidwis $300.80 $300.$0 Stab Total: $300.80 s "i" r z a 9 4 €°s Send Invoice To:� Carmel Police Dopaftmont Attar: TGrosa Andervon 3 Citric srluam Camsl, IN 4i PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Castel Police Dept. �m .30 PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. l�Y R 6 Poli �ll(ii� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 25948 A.P.V. COPY- SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 2© IN THE SUM OF a ON ACCOUNT OF APPROPRIATION FOR r Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and 3 received except_ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. Mike's Car Wash ALLOWED 20 IN SUM OF 10251 N. Hague Road Indianapolis, IN 46258 $300.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members Prior Year Encumbere`! I hereby certify that the attached invoice(s), or -49919 5406 43- 511.00 $300.80 C 2�q f 6 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, January 03, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/30/11 5406 car wash tickets $300.80 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 2Q Clerk- Treasurer